If you are dissatisfied with your Unity health plan, you have the right to share your thoughts. Contact Unity Customer Service at 800.362.3310 to discuss your complaint.

Unity welcomes member input. We work hard to resolve problems that our members share with us. Sometimes our Customer Service staff cannot clear up the matter. In that case, Unity’s Member Advocate will help you with the appeal process. Unity will respond to your appeal within 30 days. Please check your Certificate of Coverage for a full description of your appeal rights.

Formal grievance process

Unity's Member Advocate will review your concern. If the concern is about a medical problem, it will be reviewed by medical staff

If the matter still cannot be resolved, your matter will be sent to Unity’s Reconsideration Committee

What if I don’t agree with an appeal decision?

At times, members finish Unity’s internal grievance process and are still dissatisfied. Members may be able to go outside of Unity for a review of the decision. If so, the member can file an independent external review. To do so –

If your claim doesn’t meet the rules for independent external review, you have another option. You can contact the state insurance regulator. The regulator can explain your rights and may be able to help you with the claim.